APPOINTMENT DEPOSIT POLICY Make an Appointment Now Appointment Policy Consent* I understand and agree to the appointment deposit policy and accept the terms and conditions described below.Montgomery Village Animal Hospital Appointment Policy Effective January 1st, 2025, a credit card or cash deposit will be required to confirm an appointment. Payment will not be processed until the time of service. All cancellations must be made in a timely manner, and insufficient notice of cancellation will result in a full appointment fee charge of $78. The goal is to maintain the hospital’s ability to provide timely care to all patients, reduce the number of missed appointments, and ensure commitment from pet owners. A deposit of $500 (or the full amount of the estimate if it is less than $500) is required for all surgical procedures and specialty consultations. *All deposits are applied to the final cost of your pet’s visit. Deposit Refunds and Cancellations Cancellations Made by the Client: • Deposits are refundable ONLY if the appointment is canceled at least 48 hours/2 days in advance. • Deposits for same day or next day appointments will be NON-REFUNDABLE. • IF THE APPOINTMENT IS CANCELED WITHIN 48 HOURS/2 DAYS OF THE SCHEDULED TIME, THE DEPOSIT WILL BE FORFEITED. • THE DEPOSIT WILL BE FORFEITED IF THE CLIENT FAILS TO SHOW UP FOR THE SCHEDULED APPOINTMENT. • IF YOU ARRIVE MORE THAN 15 MINUTES AFTER YOUR APPOINTMENT IS SCHEDULED TO BEGIN, WE WILL ATTEMPT TO SEE YOU BUT YOU MAY HAVE TO WAIT UNTIL AFTER OTHER PATIENTS ARE SEEN. ALTERNATIVELY, YOU MAY BE ASKED TO RESCHEDULE YOUR APPOINTMENT. IF YOU NEED TO BE RESCHEDULED, YOU WILL BE CHARGED THE FULL APPOINTMENT FEE FOR THE MISSED APPOINTMENT. Cancellations Made by the Hospital: • If the hospital needs to cancel or reschedule an appointment, the deposit will be fully refunded or applied to the rescheduled appointment, based on the client’s preference. No-Show Policy: • Repeated no-shows will result in the requirement of a non-refundable full payment of estimated consultation charges in advance for all future appointments. Exceptions In certain circumstances (e.g., severe weather, medical emergencies, etc.), exceptions to the deposit and refund policy may be made at the sole discretion of the hospital management. Client Information First Name*Last Name*Phone*Email* Pet's Name*Type of Pet*Appointment Details What is the appointment for?*Select OneWellnessIllness / InjuryOtherIf this is an emergency, or your pet is in pain or injured, or you need an appointment today please call our office.1st Choice Appointment Date* MM slash DD slash YYYY Morning Afternoon 2nd Choice Appointment Date* MM slash DD slash YYYY Morning Afternoon Tell us why you are requesting this appointment Our goal is to make scheduling an appointment as easy and convenient for you as possible. To request an appointment you can also call us 301-330-2200